{"id":1578,"date":"2015-02-06T12:49:03","date_gmt":"2015-02-06T12:49:03","guid":{"rendered":"https:\/\/andreasphysioblog.com\/?p=1578"},"modified":"2021-05-03T20:21:08","modified_gmt":"2021-05-03T20:21:08","slug":"the-foot-core-system-a-new-paradigm-for-understanding-intrinsic-foot-muscle-function","status":"publish","type":"post","link":"https:\/\/andreasphysioblog.com\/?p=1578","title":{"rendered":"The foot core system: a new paradigm for understanding intrinsic foot muscle function,"},"content":{"rendered":"<h2><strong>The foot core system: a new paradigm for understanding intrinsic foot muscle function<\/strong><\/h2>\n<h4><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/br-j-sports-med-2015-mckeon-290.pdf\"><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-5248 alignright\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-13-kl-10-12-15.png?w=269&amp;h=274\" alt=\"Sk\u00e6rmbillede 2015-03-13 kl. 10.12.15\" width=\"269\" height=\"274\" data-attachment-id=\"5248\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/03\/09\/the-foot-core-system-a-new-paradigm-for-understanding-intrinsic-foot-muscle-function\/skaermbillede-2015-03-13-kl-10-12-15\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-13-kl-10-12-15.png\" data-orig-size=\"896,904\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-03-13 kl. 10.12.15\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-13-kl-10-12-15.png?w=297\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-13-kl-10-12-15.png?w=825\" \/>Br J Sports Med-2015-McKeon-290<\/a><\/h4>\n<p>Dette blogindl\u00e6g er baseret p\u00e5 ovenst\u00e5ende studie af Patrick O McKeon, Jay Hertel,Dennis Bramble, Irene Davis,\u00a0<span id=\"article-slug-jnl-abbr\"><abbr class=\"slug-jnl-abbrev\" title=\"British Journal of Sports Medicine\">Br J Sports Med.<\/abbr><\/span><\/p>\n<p>Forfattere kan du ogs\u00e5 lytte til her\u00a0i en<strong>\u00a0Podcast.<\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/soundcloud.com\/drbartonbiomech\/the-foot-core-discussion-with-professor-irene-davis-and-dr-patrick-mckeon\">\u2018The Foot Core\u2019\u00a0<\/a><\/li>\n<li><a href=\"https:\/\/soundcloud.com\/bmjpodcasts\/does-the-concept-of-the-abdominal-core-apply-to-the-foot-too-professor-irene-davis-harvard?utm_source=twitterfeed&amp;utm_medium=twitter&amp;utm_campaign=Feed%3A+bjsm%2Fpodcasts+%28Latest+from+British+Journal+of+Sports+Medicine+podcasts%29\">Does the concept of the abdominal \u2018core\u2019 apply to the foot too?<\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Indledning<\/strong><\/p>\n<p><span class=\"text_exposed_show\">Vores f\u00f8dder er vores bedste ven. De b\u00e6rer os livet igennem, ofte uden brok. Vi tilbagebetaler ikke foden med den opm\u00e6rksom den fortjener. Dette er nok h\u00f8jst fordi foden er den kropsdel der sidder l\u00e6ngst v\u00e6k fra vores hjerne, og vi har langt flere kropsdele vi vil tilfredsstille med wellness, tr\u00e6ning, praktisk &amp; l\u00e6kkert t\u00f8j, inden vi kommer ned til f\u00f8dderne, som vi ofte bare \u201cpakker\u201d ind.<\/span><\/p>\n<div class=\"text_exposed_show\">\n<p>Foden er tilmed en kompleks struktur med mange led og bev\u00e6gelser. I st\u00e5ende stilling er foden vores br\u00e6t at st\u00e5 p\u00e5 (base of support) og under gang skal foden v\u00e6re b\u00e5de stabil og st\u00f8dd\u00e6mpende.<\/p>\n<p>Vores fod bev\u00e6gelser- og stabilitet styres af indre og ydre muskler. Disse muskler kalder vi henholdvis lokale stabilisatorer og globale movers (bev\u00e6ger af foden; ref Punjabi).<\/p>\n<\/div>\n<ul>\n<li><strong>De lokale stabilisatorer<\/strong> er delt i fire lag af plantar intrinsic \u2018indre\u2019 muskler.\u00a0Disse muskler har generelt sm\u00e5 momentarme, sm\u00e5 tv\u00e6rsnitsarealer og tjener prim\u00e6rt til\u00a0form\u00e5l at stabilisere fodens buer.<\/li>\n<\/ul>\n<ul>\n<li><strong>De globale mover<\/strong>s er de \u2018ydre\u2019 muskler, der \u201cudspringer\u201d fra\u00a0underbenet, krydser anklen og h\u00e6fter\u00a0p\u00e5 foden. Disse muskler har st\u00f8rre tv\u00e6rsnitsarealer, st\u00f8rre momentarme, og f\u00e5r\u00a0foden til at bev\u00e6ge sig. \u00a0Disse \u2018globale movers\u2019 giver b\u00e5de absorption og fremdrift under dynamiske aktiviteter.<\/li>\n<\/ul>\n<p>Hos alle idr\u00e6tsud\u00f8ver man opleve udtr\u00e6tning \/ fatique af de \u2018plantar instrinsic muskler\u2019 ved gentagne\u00a0koncentriske\u00a0sammentr\u00e6kninger.<img decoding=\"async\" class=\" wp-image-5237 alignnone\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-04.png?w=385&amp;h=171\" sizes=\"(max-width: 385px) 100vw, 385px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-04.png?w=385&amp;h=171 385w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-04.png?w=770&amp;h=342 770w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-04.png?w=150&amp;h=66 150w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-04.png?w=300&amp;h=133 300w\" alt=\"Sk\u00e6rmbillede 2015-03-09 kl. 23.18.04\" width=\"385\" height=\"171\" data-attachment-id=\"5237\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/03\/09\/the-foot-core-system-a-new-paradigm-for-understanding-intrinsic-foot-muscle-function\/skaermbillede-2015-03-09-kl-23-18-04\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-04.png\" data-orig-size=\"1212,536\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-03-09 kl. 23.18.04\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-04.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-04.png?w=825\" \/><img decoding=\"async\" class=\" wp-image-5239 alignnone\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-36.png?w=254&amp;h=163\" sizes=\"(max-width: 254px) 100vw, 254px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-36.png?w=254&amp;h=163 254w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-36.png?w=508&amp;h=323 508w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-36.png?w=150&amp;h=95 150w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-36.png?w=300&amp;h=191 300w\" alt=\"Sk\u00e6rmbillede 2015-03-09 kl. 23.18.36\" width=\"254\" height=\"163\" data-attachment-id=\"5239\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/03\/09\/the-foot-core-system-a-new-paradigm-for-understanding-intrinsic-foot-muscle-function\/skaermbillede-2015-03-09-kl-23-18-36\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-36.png\" data-orig-size=\"616,392\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-03-09 kl. 23.18.36\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-36.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-36.png?w=616\" \/><\/p>\n<p><strong>Hvad har ellers betydning for foden?<\/strong><\/p>\n<p>For at f\u00e5 foden til at bev\u00e6ge sig optimalt og smertefrit sker det i samspil med 3 \u2018subsystemer\u2019. Det neurale subsystem, det passive subsystem og det aktive subsystem.<\/p>\n<ul>\n<li><strong>neurale subsystem:<\/strong> best\u00e5r af receptorer i leddet (proprioception) og sansoriske receptorer i huden (cutane receptorer) og andre receptorer der registrerer varme\/kulde, smerte og s\u00e5 videre.<\/li>\n<li><strong>passive subsystem<\/strong>: best\u00e5r af ligamenter, fascie og knogler.<\/li>\n<li><strong>aktive subsystem<\/strong>: foden muskler, <strong>de lokale stabilitorer<\/strong> og <strong>de globale movers<\/strong>.<\/li>\n<\/ul>\n<figure id=\"attachment_5235\" class=\"wp-caption alignleft\" data-shortcode=\"caption\" aria-describedby=\"caption-attachment-5235\"><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png\"><img decoding=\"async\" class=\"wp-image-5235 size-full\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png?w=825\" sizes=\"(max-width: 825px) 100vw, 825px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png?w=825 825w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png?w=150 150w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png?w=300 300w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png?w=768 768w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png?w=1024 1024w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png 1216w\" alt=\"Sk\u00e6rmbillede 2015-03-07 kl. 16.30.49\" data-attachment-id=\"5235\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/03\/09\/the-foot-core-system-a-new-paradigm-for-understanding-intrinsic-foot-muscle-function\/skaermbillede-2015-03-07-kl-16-30-49\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png\" data-orig-size=\"1216,680\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-03-07 kl. 16.30.49\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-07-kl-16-30-49.png?w=825\" \/><\/a><figcaption id=\"caption-attachment-5235\" class=\"wp-caption-text\">The foot core system is comprised of interacting subsystems that provide relevant sensory input and functional stability for accommodating to changing demands during both static and dynamic activities. The interaction of these subsystems is very similar to the lumbopelvic core system. \u25b8 The plantar intrinsic foot muscles within the active and neural subsystems play a critical role in the foot core system as local stabilisers and direct sensors of foot deformation. \u25b8 Assessment of the foot core system can provide clinical insight into the ability of the foot to cope with changing functional demands. \u25b8 Foot core training begins with targeting the plantar intrinsic muscles via the short foot exercise, similar to the abdominal drawing in manoeuvre, for enhancing the capacity and control of the foot core system <a href=\"http:\/\/www.runresearchjunkie.com\/the-concept-of-core-stability-of-the-foot\/\" rel=\"nofollow\">http:\/\/www.runresearchjunkie.com\/the-concept-of-core-stability-of-the-foot\/<\/a><\/figcaption><\/figure>\n<div class=\"page\" title=\"Page 1\">\n<div class=\"section\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p><strong><span class=\"hps\">Relevans af<\/span>\u00a0\u2018<span class=\"hps\">core stabilitet\u2019 \u00f8velser t<\/span><span class=\"hps\">il foden\u00a0<\/span><\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p>N\u00e5r vi f\u00e5r en skade \/ et problem i foden, s\u00e5 fokusere de fleste behandlinger sig ofte ved \u2018eksternt\u2019 st\u00f8tte af foden (fx s\u00e5ler\/indl\u00e6g\/hvile) i stedet for at tr\u00e6ne disse muskler til at fungerer som de er designet.<\/p>\n<p>\u00d8velser til foden er traditionelt\u00a0\u00a0beskrevet som kortfods\u00f8velser fx t\u00e5-fleksion \u00f8velser s\u00e5som at l\u00f8fte eller kr\u00f8lle et h\u00e5ndkl\u00e6de eller\u00a0samle en blyant op med foden.<\/p>\n<p>Det nye \u2018paradigme\u2019 henvender sig mere til\u00a0at \u2018patienten\u2019 genl\u00e6rer at holde subtalar neutral (core-stabiliteten), calcaneus (h\u00e6lknoglerne) og metatarsus knoglerne (forfodsknogler) p\u00e5 jorden og med t\u00e6erne hverken for b\u00f8jet eller str\u00e6kt.<\/p>\n<p><strong>Budskabet<\/strong><\/p>\n<p class=\"p1\">Vi skal opfatte foden som vi g\u00f8r med andre kropsdele n\u00e5r vi tr\u00e6ner stabilitet ved at tr\u00e6ne foden i en neutral position. P\u00e5 samme m\u00e5de \u2018vi\u2019 g\u00f8r med l\u00e6nderyggen (lumbopelvic) omr\u00e5det og vores tr\u00e6ning skal fokusere p\u00e5 bev\u00e6gelsesm\u00f8nstre og styrke foden i neutral position under bev\u00e6gelse frem for bestemt isolerede kort-fods\u00f8velser. H\u00e5bet er at en st\u00e6rkere fod (gennem det neurosubsystem \/ passive subsystem \/ active subsystem) kan forebygge overuse skader i kroppen, frem for at vi forebygger med passive tilgang s\u00e5som ortop\u00e6diske s\u00e5ler. S\u00e5ler kan dog v\u00e6re en god ting for nogen, og for andre er det m\u00e5ske et bidragende tiltag i en periode. Men hvis vi ser foden som vi ser ryggen, s\u00e5 g\u00e5r vi heller ikke l\u00e6ngere rundt med korset eller rygskjold hvis vi falder ned i d\u00e5rlig holdning.<\/p>\n<p><b>Book\u00a0tid til fysioterapeut behandling. <a href=\"https:\/\/andreasbjerregaard.wordpress.com\/book-tid\/\">Udfyld skadesformularen her.<\/a><\/b><\/p>\n<p>Se andre blogindl\u00e6g her der give bud p\u00e5 \u00f8velser til foden.<\/p>\n<ul>\n<li class=\"entry-title\">\n<p class=\"entry-title\"><a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2014\/11\/05\/fascia-plantaris-plantar-fasciitis-forreste-haelsmerte-svangbuesmerte\/\" rel=\"bookmark\">Fascia Plantaris \/ Plantar fasciitis. #forreste h\u00e6lsmerte,\u00a0#svangbuesmerte<\/a><\/p>\n<\/li>\n<li class=\"entry-title\">\n<p class=\"entry-title\"><a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2014\/11\/20\/tibialis-posterior\/\" rel=\"bookmark\">Tibialis Posterior<\/a><\/p>\n<\/li>\n<li class=\"entry-title\">\n<p class=\"entry-title\"><a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2014\/07\/12\/navicular-stress-brud\/\" rel=\"bookmark\">Naviculare stressfraktur<\/a><\/p>\n<\/li>\n<li class=\"entry-title\">\n<p class=\"entry-title\"><a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2014\/06\/28\/achillesskader-what-to-do\/\" rel=\"bookmark\">Achillesskader What to\u00a0do?<\/a><\/p>\n<\/li>\n<li class=\"entry-title\">\n<p class=\"entry-title\"><a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2014\/06\/09\/brudfraktur-af-5th-metatarsal\/\" rel=\"bookmark\">Brud\/fraktur af 5th\u00a0metatarsal<\/a><\/p>\n<\/li>\n<li class=\"entry-title\">\n<p class=\"entry-title\"><a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2013\/04\/07\/forstuvet-ankel-mobilitet\/\" rel=\"bookmark\">Ankeldistortion \/ forstuvning og mobility\u00a0tr\u00e6ning<\/a><\/p>\n<\/li>\n<li class=\"entry-title\">\n<p class=\"entry-title\"><a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2013\/04\/06\/handtering-af-ankelskader\/\" rel=\"bookmark\">Ankelskader<\/a><\/p>\n<\/li>\n<li class=\"entry-title\">\n<p class=\"entry-title\"><a href=\"https:\/\/andreasbjerregaard.wordpress.com\/2015\/02\/18\/giver-ricem-bedre-opheling\/\" rel=\"bookmark\">Akutte skader. Hvad skal jeg\u00a0g\u00f8re?<\/a><\/p>\n<\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-5238 size-full\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png?w=825\" sizes=\"(max-width: 825px) 100vw, 825px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png?w=825 825w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png?w=150 150w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png?w=300 300w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png?w=768 768w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png 882w\" alt=\"Sk\u00e6rmbillede 2015-03-09 kl. 23.18.25\" data-attachment-id=\"5238\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/03\/09\/the-foot-core-system-a-new-paradigm-for-understanding-intrinsic-foot-muscle-function\/skaermbillede-2015-03-09-kl-23-18-25\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png\" data-orig-size=\"882,594\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-03-09 kl. 23.18.25\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-09-kl-23-18-25.png?w=825\" \/><\/p>\n<p><strong>Andre studier<\/strong><\/p>\n<p>Der er stigende evidens p\u00e5 at tr\u00e6ne\u00a0fodens core-stabilitet via progressive kort-fods\u00f8velser. F.eks har et 4 ugers fodtr\u00e6ningsforl\u00f8b hos raske personer reduceret fald i svangbuen, naviclare drop og forbedret balancen.<\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/23632367\">Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function.<\/a><\/p>\n<p>I en anden unders\u00f8gelse med raske personer over 4 ugers tid, blev\u00a0dynamisk balance forbedret i forhold til dem, der udf\u00f8rte 4 ugers h\u00e5ndkl\u00e6de-kr\u00f8l fod\u00f8velser.<\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=differences+in+static+and+dynamic+balance+task+performance+after+4+weeks\"><span class=\"highlight\">Differences<\/span> in <span class=\"highlight\">static<\/span>\u2013 and <span class=\"highlight\">dynamic<\/span>\u2013<span class=\"highlight\">balance<\/span> <span class=\"highlight\">task<\/span> <span class=\"highlight\">performance<\/span> <span class=\"highlight\">after<\/span> <span class=\"highlight\">4<\/span> <span class=\"highlight\">weeks<\/span> of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise.<\/a><\/p>\n<p>Hos raske unge voksne med pes-planus, fik man tr\u00e6net v\u00e6sentlig styrke (muskel\u00a0tv\u00e6rsnitsareal i hallucis longus)\u00a0i storet\u00e5 fleksion efter 4 uger med kort-fod \u00f8velser og s\u00e5ler\/fodindl\u00e6g\u00a0i forhold til fods\u00e5ler\/indl\u00e6g alene.<\/p>\n<p><a href=\"http:\/\/www.ncbi.nlm.nih.gov\/pubmed\/?term=effect+of+foot+orthoses+and+short+foot+exercise+on+the+cross+sectional\"><span class=\"highlight\">Effect<\/span> of <span class=\"highlight\">foot<\/span> <span class=\"highlight\">orthoses<\/span> and <span class=\"highlight\">short<\/span>\u2013<span class=\"highlight\">foot<\/span> <span class=\"highlight\">exercise<\/span> on the <span class=\"highlight\">cross<\/span>\u2013<span class=\"highlight\">sectional<\/span> area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial.<\/a><\/p>\n<div class=\"jetpack-video-wrapper\"><span class=\"embed-youtube\"><iframe class=\"youtube-player\" src=\"https:\/\/www.youtube.com\/embed\/rCUP2nkiDNs?version=3&amp;rel=1&amp;showsearch=0&amp;showinfo=1&amp;iv_load_policy=1&amp;fs=1&amp;hl=en&amp;autohide=2&amp;wmode=transparent\" sandbox=\"allow-scripts allow-same-origin allow-popups allow-presentation\" allowfullscreen=\"allowfullscreen\" data-ratio=\"0.5636363636363636\" data-width=\"825\" data-height=\"465\" data-mce-fragment=\"1\"><\/iframe><\/span><\/div>\n<p>&nbsp;<\/p>\n<p><a href=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-22-kl-23-32-57.png\"><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-medium wp-image-5271\" src=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-22-kl-23-32-57.png?w=300&amp;h=273\" sizes=\"(max-width: 300px) 100vw, 300px\" srcset=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-22-kl-23-32-57.png?w=300&amp;h=273 300w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-22-kl-23-32-57.png?w=600&amp;h=546 600w, https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-22-kl-23-32-57.png?w=150&amp;h=137 150w\" alt=\"Sk\u00e6rmbillede 2015-03-22 kl. 23.32.57\" width=\"300\" height=\"273\" data-attachment-id=\"5271\" data-permalink=\"https:\/\/physioblogandreasbjerregaard.com\/2015\/03\/09\/the-foot-core-system-a-new-paradigm-for-understanding-intrinsic-foot-muscle-function\/skaermbillede-2015-03-22-kl-23-32-57\/\" data-orig-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-22-kl-23-32-57.png\" data-orig-size=\"1330,1212\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Sk\u00e6rmbillede 2015-03-22 kl. 23.32.57\" data-image-description=\"\" data-medium-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-22-kl-23-32-57.png?w=300\" data-large-file=\"https:\/\/andreasbjerregaard.files.wordpress.com\/2015\/03\/skc3a6rmbillede-2015-03-22-kl-23-32-57.png?w=825\" \/><\/a>Reference<\/p>\n<p><a href=\"http:\/\/bjsm.bmj.com\/content\/early\/2014\/03\/21\/bjsports-2013-092690.short\">The foot core system: a new paradigm for understanding intrinsic foot muscle function<\/a><\/p>\n<p><a href=\"http:\/\/www.biomechanics.completesportscare.com.au\/rehab\/retraining-muscle-function-foot-lets-build-positive-concept\/#sthash.aRoPl0pq.dpbs\">Retraining foot muscle function \u2013 let\u2019s build on this positive concept, not bury it with negativity<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The foot core system: a new paradigm for understanding intrinsic foot muscle function Br J Sports Med-2015-McKeon-290 Dette blogindl\u00e6g er baseret p\u00e5 ovenst\u00e5ende studie af Patrick O McKeon, Jay Hertel,Dennis Bramble, Irene Davis,\u00a0Br J Sports Med. Forfattere kan du ogs\u00e5 lytte til her\u00a0i en\u00a0Podcast. \u2018The Foot Core\u2019\u00a0 Does the concept of the abdominal \u2018core\u2019 apply to the foot too? &nbsp; Indledning Vores f\u00f8dder er vores bedste ven. De b\u00e6rer os livet igennem, ofte uden brok. Vi tilbagebetaler ikke foden med den opm\u00e6rksom den fortjener. Dette er nok h\u00f8jst fordi foden er den kropsdel der sidder l\u00e6ngst v\u00e6k fra vores hjerne, og vi har langt flere kropsdele vi vil tilfredsstille med wellness, tr\u00e6ning, praktisk &amp; l\u00e6kkert t\u00f8j, inden vi kommer ned til f\u00f8dderne, som vi ofte bare \u201cpakker\u201d ind. Foden er tilmed en kompleks struktur med mange led og bev\u00e6gelser. I st\u00e5ende stilling er foden vores br\u00e6t at st\u00e5 p\u00e5 (base of support) og under gang skal foden v\u00e6re b\u00e5de stabil og st\u00f8dd\u00e6mpende. Vores fod bev\u00e6gelser- og stabilitet styres af indre og ydre muskler. Disse muskler kalder vi henholdvis lokale stabilisatorer og globale movers (bev\u00e6ger af foden; ref Punjabi). De lokale stabilisatorer er delt i fire lag af plantar intrinsic \u2018indre\u2019 muskler.\u00a0Disse muskler har generelt sm\u00e5 momentarme, sm\u00e5 tv\u00e6rsnitsarealer og tjener prim\u00e6rt til\u00a0form\u00e5l at stabilisere fodens buer. De globale movers er de \u2018ydre\u2019 muskler, der \u201cudspringer\u201d fra\u00a0underbenet, krydser anklen og h\u00e6fter\u00a0p\u00e5 foden. Disse muskler har st\u00f8rre tv\u00e6rsnitsarealer, st\u00f8rre momentarme, og f\u00e5r\u00a0foden til at bev\u00e6ge sig. \u00a0Disse \u2018globale movers\u2019 giver b\u00e5de absorption og fremdrift under dynamiske aktiviteter. Hos alle idr\u00e6tsud\u00f8ver man opleve udtr\u00e6tning \/ fatique af de \u2018plantar instrinsic muskler\u2019 ved gentagne\u00a0koncentriske\u00a0sammentr\u00e6kninger. Hvad har ellers betydning for foden? For at f\u00e5 foden til at bev\u00e6ge sig optimalt og smertefrit sker det i samspil med 3 \u2018subsystemer\u2019. Det neurale subsystem, det passive subsystem og det aktive subsystem. neurale subsystem: best\u00e5r af receptorer i leddet (proprioception) og sansoriske receptorer i huden (cutane receptorer) og andre receptorer der registrerer varme\/kulde, smerte og s\u00e5 videre. passive subsystem: best\u00e5r af ligamenter, fascie og knogler. aktive subsystem: foden muskler, de lokale stabilitorer og de globale movers. The foot core system is comprised of interacting subsystems that provide relevant sensory input and functional stability for accommodating to changing demands during both static and dynamic activities. The interaction of these subsystems is very similar to the lumbopelvic core system. \u25b8 The plantar intrinsic foot muscles within the active and neural subsystems play a critical role in the foot core system as local stabilisers and direct sensors of foot deformation. \u25b8 Assessment of the foot core system can provide clinical insight into the ability of the foot to cope with changing functional demands. \u25b8 Foot core training begins with targeting the plantar intrinsic muscles via the short foot exercise, similar to the abdominal drawing in manoeuvre, for enhancing the capacity and control of the foot core system <a href=\"http:\/\/www.runresearchjunkie.com\/the-concept-of-core-stability-of-the-foot\/\" rel=\"nofollow\">http:\/\/www.runresearchjunkie.com\/the-concept-of-core-stability-of-the-foot\/<\/a> Relevans af\u00a0\u2018core stabilitet\u2019 \u00f8velser til foden\u00a0 N\u00e5r vi f\u00e5r en skade \/ et problem i foden, s\u00e5 fokusere de fleste behandlinger sig ofte ved \u2018eksternt\u2019 st\u00f8tte af foden (fx s\u00e5ler\/indl\u00e6g\/hvile) i stedet for at tr\u00e6ne disse muskler til at fungerer som de er designet. \u00d8velser til foden er traditionelt\u00a0\u00a0beskrevet som kortfods\u00f8velser fx t\u00e5-fleksion \u00f8velser s\u00e5som at l\u00f8fte eller kr\u00f8lle et h\u00e5ndkl\u00e6de eller\u00a0samle en blyant op med foden. Det nye \u2018paradigme\u2019 henvender sig mere til\u00a0at \u2018patienten\u2019 genl\u00e6rer at holde subtalar neutral (core-stabiliteten), calcaneus (h\u00e6lknoglerne) og metatarsus knoglerne (forfodsknogler) p\u00e5 jorden og med t\u00e6erne hverken for b\u00f8jet eller str\u00e6kt. Budskabet Vi skal opfatte foden som vi g\u00f8r med andre kropsdele n\u00e5r vi tr\u00e6ner stabilitet ved at tr\u00e6ne foden i en neutral position. P\u00e5 samme m\u00e5de \u2018vi\u2019 g\u00f8r med l\u00e6nderyggen (lumbopelvic) omr\u00e5det og vores tr\u00e6ning skal fokusere p\u00e5 bev\u00e6gelsesm\u00f8nstre og styrke foden i neutral position under bev\u00e6gelse frem for bestemt isolerede kort-fods\u00f8velser. H\u00e5bet er at en st\u00e6rkere fod (gennem det neurosubsystem \/ passive subsystem \/ active subsystem) kan forebygge overuse skader i kroppen, frem for at vi forebygger med passive tilgang s\u00e5som ortop\u00e6diske s\u00e5ler. S\u00e5ler kan dog v\u00e6re en god ting for nogen, og for andre er det m\u00e5ske et bidragende tiltag i en periode. Men hvis vi ser foden som vi ser ryggen, s\u00e5 g\u00e5r vi heller ikke l\u00e6ngere rundt med korset eller rygskjold hvis vi falder ned i d\u00e5rlig holdning. Book\u00a0tid til fysioterapeut behandling. Udfyld skadesformularen her. Se andre blogindl\u00e6g her der give bud p\u00e5 \u00f8velser til foden. Fascia Plantaris \/ Plantar fasciitis. #forreste h\u00e6lsmerte,\u00a0#svangbuesmerte Tibialis Posterior Naviculare stressfraktur Achillesskader What to\u00a0do? Brud\/fraktur af 5th\u00a0metatarsal Ankeldistortion \/ forstuvning og mobility\u00a0tr\u00e6ning Ankelskader Akutte skader. Hvad skal jeg\u00a0g\u00f8re? Andre studier Der er stigende evidens p\u00e5 at tr\u00e6ne\u00a0fodens core-stabilitet via progressive kort-fods\u00f8velser. F.eks har et 4 ugers fodtr\u00e6ningsforl\u00f8b hos raske personer reduceret fald i svangbuen, naviclare drop og forbedret balancen. Effect of plantar intrinsic muscle training on medial longitudinal arch morphology and dynamic function. I en anden unders\u00f8gelse med raske personer over 4 ugers tid, blev\u00a0dynamisk balance forbedret i forhold til dem, der udf\u00f8rte 4 ugers h\u00e5ndkl\u00e6de-kr\u00f8l fod\u00f8velser. Differences in static\u2013 and dynamic\u2013balance task performance after 4 weeks of intrinsic-foot-muscle training: the short-foot exercise versus the towel-curl exercise. Hos raske unge voksne med pes-planus, fik man tr\u00e6net v\u00e6sentlig styrke (muskel\u00a0tv\u00e6rsnitsareal i hallucis longus)\u00a0i storet\u00e5 fleksion efter 4 uger med kort-fod \u00f8velser og s\u00e5ler\/fodindl\u00e6g\u00a0i forhold til fods\u00e5ler\/indl\u00e6g alene. Effect of foot orthoses and short\u2013foot exercise on the cross\u2013sectional area of the abductor hallucis muscle in subjects with pes planus: a randomized controlled trial. &nbsp; Reference The foot core system: a new paradigm for understanding intrinsic foot muscle function Retraining foot muscle function \u2013 let\u2019s build on this positive concept, not bury it with negativity &nbsp;<\/p>\n","protected":false},"author":1,"featured_media":1580,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"postBodyCss":"","postBodyMargin":[],"postBodyPadding":[],"postBodyBackground":{"backgroundType":"classic","gradient":""},"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_hide_featured_image":false,"_jetpack_featured_image_duplicate_dismissed":0,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_post_was_ever_published":false},"categories":[227,2],"tags":[174],"class_list":["post-1578","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ankel-sprains","category-ankle-injuries","tag-muscle"],"blocksy_meta":{"styles_descriptor":{"styles":{"desktop":"","tablet":"","mobile":""},"google_fonts":[],"version":7}},"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 5.0.3 - aioseo.com -->\n\t<meta name=\"description\" content=\"The foot core system: a new paradigm for understanding intrinsic foot muscle function Br J Sports Med-2015-McKeon-290 Dette blogindl\u00e6g er baseret p\u00e5 ovenst\u00e5ende studie af Patrick O McKeon, Jay Hertel,Dennis Bramble, Irene Davis, Br J Sports Med. 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